| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.87 | $120.92 | $171.48 | |
BCBS
| Professional | $25.97 | $102.13 | $183.64 | |
Cigna
| Professional | $95.71 | $135.07 | $275.31 | |
Health Alliance Plan
| Professional | $105.34 | $124.37 | $201.14 | |
Molina
| Professional | $89.03 | $120.26 | $174.43 | |
United
| Professional | $129.56 | $159.61 | $222.10 |